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目的:探讨宫腹腔镜联合治疗宫角妊娠的效果。方法:回顾性分析20例宫角妊娠患者在宫腹腔镜下治疗的临床资料。结果:20例宫角妊娠患者术中出血40~150ml,平均65ml,手术时间15~30分钟,平均20分钟,吸宫时无一例发生子宫破例。患者均于术后5天顺利出院。术后随访,15例阴道出血7天内干净,3例10天左右干净,1例20天干净,1例失访;1月后随访血HCG,13例恢复正常,6例小于100IU/L,继续监测至术后50天,小于5IU/L,1例失访;所有患者月经复潮干净后复查B超,宫内均未见异常回声。结论:宫腹腔镜联合治疗早期宫角妊娠是安全、有效的治疗方法。
Objective: To investigate the effect of hysteroscopy combined with laparoscopic treatment of cornual pregnancy. Methods: A retrospective analysis of 20 cases of uterine horn pregnancy in the palace laparoscopic treatment of clinical data. Results: 20 cases of intrauterine pregnancy in patients with intraoperative bleeding 40 ~ 150ml, an average of 65ml, operation time 15 to 30 minutes, an average of 20 minutes, no case of uterine suction when the case of uterine exception. Patients were discharged 5 days after surgery. After operation, 15 cases of vaginal bleeding were clean in 7 days, 3 cases were clean in 10 days, 1 case was clean in 20 days and 1 case was lost to follow-up. Blood HCG was followed up in 1 month, 13 cases returned to normal, 6 cases less than 100 IU / L, Monitored to 50 days after operation, less than 5IU / L, 1 case lost follow-up; all patients with recurrent menstrual flow clean after review B, no intrauterine abnormal echo. Conclusion: Hysteroscopy combined with laparoscopic treatment of early pregnancy is a safe and effective method of treatment.